Active NPIIndividual providerSole proprietor

Bradley A Bodner, DO

Physical Medicine & Rehabilitation in Morganville, New Jersey

NPI Number1366614406
Practice location
65 State Route 34 Ste 4, Morganville, NJ 07751-4262
Fax
—
Last updated
September 12, 2022

Bradley A Bodner is a Physical Medicine & Rehabilitation based in Morganville, NJ. Bradley A Bodner practices in Morganville, NJ and has the professional credentials of DO. The NPI Number for Bradley A Bodner is 1366614406 and holds a License No. OS 8450 (FL). The current practice location address for Bradley A Bodner is 65 State Route 34 Ste 4, Morganville, NJ 07751-4262 and can be reached out via phone at 732-333-8155.

Provider Profile Details

NPI Number
1366614406
Provider Name
Bradley A Bodner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
65 State Route 34 Ste 4, Morganville, NJ 07751-4262
Phone Number
732-333-8155
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
Yes
Provider Enumeration Date
March 28, 2008
Last Update Date
September 12, 2022
Certification Date
September 12, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 State Route 34 Ste 4
Morganville, NJ 07751-4262
Zip
07751-4262
Phone Number
732-333-8155
Morganville, NJ 07751Get directions →

Provider Business Mailing Address Details

Address
65 State Route 34 Ste 4
Morganville, NJ 07751-4262
City
Morganville
State
NJ
Zip
07751-4262
Phone Number
732-333-8155

License Information

License Number (1)
OS 8450
License State (1)
FL
Taxonomy (1)
Physical Medicine & Rehabilitation · 208100000X
License Number (2)
25MB08845000
License State (2)
NJ
Taxonomy (2)
Physical Medicine & Rehabilitation · 208100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bradley A Bodner, DO?

The NPI number of Bradley A Bodner, DO is 1366614406. It was assigned on March 28, 2008 and is currently active in the NPPES registry.

What is the specialty of Bradley A Bodner, DO?

Bradley A Bodner, DO is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in FL under license number OS 8450.

Where does Bradley A Bodner, DO practice?

The practice location is 65 State Route 34 Ste 4, Morganville, NJ 07751-4262. The office can be reached at 732-333-8155 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366614406 directly on the NPPES registry website.

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